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Links of adolescent- and parent-reported eating in the absence of hunger with observed eating in the absence of hunger.

ABSTRACT: OBJECTIVE:Eating in the absence of hunger (EAH) typically was assessed by measuring snack intake after consumption of a meal. There were no validated self-report measures of EAH. The relationship of adolescent self-report and parent-reported EAH to adolescents' measured intake in the absence of hunger was examined. DESIGN AND METHODS:Ninety adolescents completed the Eating in the Absence of Hunger Questionnaire for Children and Adolescents (EAH-C) to describe eating when not hungry. Parents described children's EAH on a parallel version designed for parents (EAH-P). In a randomized crossover study, adolescent EAH in response to external cues was measured as snack intake after a lunch meal standardized to provide 50% of daily energy requirements and after a large array (>10,000 kcal). RESULTS:Parents' reports of children's EAH in response to external cues were associated with greater EAH after both meals, adjusting for body composition, sex, age, race, puberty, and meal intake. Adolescent-reported EAH was unrelated or showed an inverse association with observed EAH. CONCLUSIONS:Parent-reported EAH showed a positive association with adolescents' observed EAH and may be a useful research and clinical tool for assessing EAH in response to external cues in conditions when laboratory assessments are not feasible.

SUBMITTER: Shomaker LB

PROVIDER: S-EPMC3740450 | biostudies-literature | 2013 Jun

REPOSITORIES: biostudies-literature

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Links of adolescent- and parent-reported eating in the absence of hunger with observed eating in the absence of hunger.

Shomaker Lauren B LB Tanofsky-Kraff Marian M Mooreville Mira M Reina Samantha A SA Courville Amber B AB Field Sara E SE Matheson Brittany E BE Brady Sheila M SM Yanovski Susan Z SZ Yanovski Jack A JA

Obesity (Silver Spring, Md.) 20130601 6

<h4>Objective</h4>Eating in the absence of hunger (EAH) typically was assessed by measuring snack intake after consumption of a meal. There were no validated self-report measures of EAH. The relationship of adolescent self-report and parent-reported EAH to adolescents' measured intake in the absence of hunger was examined.<h4>Design and methods</h4>Ninety adolescents completed the Eating in the Absence of Hunger Questionnaire for Children and Adolescents (EAH-C) to describe eating when not hungr ...[more]

PMID: 23913735

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Project description:BackgroundScant research has examined whether laboratory assessments of eating in the absence of hunger (EAH) relates to long-term diet quality.ObjectiveThis study investigates the association of EAH with diet quality during pregnancy.DesignPregnancy diet quality was assessed using 24-hour diet recalls collected in each pregnancy trimester. EAH was assessed in a counterbalanced, crossover laboratory feeding substudy in which participants completed two free access eating occasions following a standardized meal during their second pregnancy trimester.Participants/settingData were collected from March 2015 to December 2016 from a subsample of participants (n = 46) enrolled at ≤12 weeks' gestation in an observational, prospective cohort study (the Pregnancy Eating Attributes Study) in North Carolina.InterventionParticipants were presented with highly processed (HP) and minimally processed (MP) foods in two separate assessments.Main outcome measuresScores for total Healthy Eating Index-2015 (HEI-2015) and adherence to adequacy and moderation components were calculated from the diet recalls. Higher scores reflect better diet quality.Statistical analyses performedLinear regressions estimated associations of pregnancy diet quality with EAH (energy, EAH-kcal; and percent offered, EAH-%) in each condition for all foods, and separately for sweet and savory foods.ResultsLower pregnancy diet quality (all indicators) was associated with greater EAH (EAH-kcal and EAH-%) of all foods and sweet foods in the HP condition. Each 100-kcal increase in EAH of HP foods was associated with a 2- to 3-point decrease (standard error = 0.7 to 0.8) in HEI-2015 (P < 0.01); each 10% increase in EAH of HP foods was associated with a 5- to 7-point decrease (standard error = 2.0) in HEI-2015 (P < 0.01). Greater EAH (energy and percent offered) of savory food intake in the HP condition was associated with a lower HEI-2015 adequacy component score, but was not associated with the HEI-2015 or HEI-2015 moderation component scores. EAH in the MP condition was not associated with pregnancy diet quality.ConclusionsGreater EAH of HP, especially sweet, foods was related to worse pregnancy diet quality. Consuming HP sweets after meal termination may reflect a tendency for eating beyond satiation and may be a useful intervention target for improving maternal diet quality.

Dataset Information

Links of adolescent- and parent-reported eating in the absence of hunger with observed eating in the absence of hunger.

Publications

Links of adolescent- and parent-reported eating in the absence of hunger with observed eating in the absence of hunger.

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